Stroke and TIA

Aug 1, 2007 Issue
Prevention of Recurrent Ischemic Stroke [Article]

Recurrent ischemic stroke and transient ischemic attack are common problems in primary care, with stroke survivors averaging 10 outpatient visits per year. Risk factors such as hypertension, diabetes, and hypercholesterolemia should be evaluated during each office visit. Attention should be given to...

Jun 1, 2007 Issue
Occupational Therapy Improves Activities of Daily Living After Stroke [Cochrane for Clinicians]

Compared with standard rehabilitation, ADL-based occupational therapy significantly decreases death or institutionalization and deterioration in the ability to perform ADL after stroke. The optimal length and type of therapy is not well defined.

May 15, 2006 Issue
AAN Review of Carotid Endarterectomy [Practice Guidelines]

A subcommittee of the American Academy of Neurology (AAN) reviewed articles on carotid endarterectomy to assess the effectiveness of the procedure in preventing stroke in patients with internal carotid artery stenosis.

Nov 15, 2004 Issue
Risk of Recurrent Stroke with Patent Foramen Ovale and Atrial Septal Aneurysm [Practice Guidelines]

Jul 15, 2004 Issue
Recommendations for Exercise After Stroke [Practice Guidelines]

Apr 1, 2004 Issue
Transient Ischemic Attacks: Part I. Diagnosis and Evaluation [Article]

Transient ischemic attack is no longer considered a benign event but, rather, a critical harbinger of impending stroke. Failure to quickly recognize and evaluate this warning sign could mean missing an opportunity to prevent permanent disability or death. The 90-day risk of stroke after a transient ...

Apr 1, 2004 Issue
Transient Ischemic Attacks: Part II. Treatment [Article]

Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor therapy may help ...

Dec 15, 2003 Issue
Stroke: Strategies for Primary Prevention [Article]

Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with hypertension prevents ...

Oct 1, 2003 Issue
Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic Stroke? [Cochrane for Clinicians]

Aspirin has a small benefit for long-term outcome and survival. Anticoagulants increase the risk for bleeding and do not have long-term benefit.

Sep 15, 2003 Issue
Cerebrospinal Fluid Analysis [Article]

Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the test's limitatio...

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